Emergency Medical Services System

The vendor is required to provide to secure professional consulting services to conduct targeted research on the emergency medical services (EMS) system that currently serves the city.
- Emergency medical services authority (EMSA)
• EMSA shall at all times comply with the terms of: the amended and restated EMS interlocal cooperation agreement, the second amended and restated trust indenture, this uniform code for emergency medical services, and all other applicable laws, rules, and regulations;
• EMSA shall at all times be a direct provider of ambulance services in the regulated service area unless the EMSA board of trustees elects to contract all or a portion of such ambulance service, pursuant to an operations contract, and in such case shall: employ a competitively selected operations contractor to operate the EMS control centers (eastern and western divisions), or directly provide ambulance services rendered under EMSA trade name, or any combination thereof;
• The provision of any ambulance services, EMSA shall employ such bidding processes and contracting methods as are reasonable and effective in ensuring the uninterrupted and reliable delivery of quality ambulance services to the citizens of the regulated service area;
• All ambulance services provided within the regulated service area shall meet or exceed the standards set forth herein and in the system standard of care, as approved and periodically updated by the medical control board; and
• Any operations contractor selected by EMSA shall operate as a subcontractor to EMSA and under EMSA ground ambulance license.
- Research study
• The growing public demand for emergency medical response, 
• An increase in complexity of providing emergency medical services, 
• Rising costs of medical care, 
• Workforce shortages, 
• Billing or reimbursement challenges, 
• Population growth and geographical distribution,
• Changing needs of patient population such as an increase in language access services related to medical care, 
• Lack of comprehensive customer satisfaction analysis for the system, 
• Opportunities and costs related to changing and available technology, and 
• Changes in the system’s operations and approach to EMS and mental health calls including shifts in EMSA employment model to become a direct service provider, the emergence of mobile integrated health (MIH) programs, embedding mental health personnel in 911, and the deployment of co-response models.
- Anticipated methodology
• Mixed methods. all methods should be as rigorous as reasonably possible. 
• Qualitative analysis (key informant interviews, focus group discussions, etc.). 
• Quantitative analysis (representative, meaningful, and credible customer satisfaction survey including individuals who have recently used the system) (demand and response time analysis, anticipated disaggregation by zip code) 
• Comparative analysis to peer EMS systems
- information and data sources
• Department: commitment to share data as requested by the respondent, ESO fire and emergency medical services records management system data. 
• First watch surveillance monitoring historical data 
• Emergency medical services authority: commitment to share data as requested by the respondent, in compliance with policies. 
• Department: commitment to share data as requested by the respondent. 
• Community stakeholders:
a. Department – community health needs assessment
b. Copes data
c. Healthy minds policy initiative
- Medical direction and clinical oversight
1. Medical director and chief medical officer
• The medical director and chief medical officer shall be appointed by the medical control board as provided for in the EMS interlocal cooperation agreement, shall recommend a system standard of care designed to achieve a state of the art quality of emergency medical care within the regulated service area, shall set standards for clinically equipping ambulances and EMRA apparatus and vehicles and credential personnel as meeting the requirements of this ordinance, and shall have those powers and duties granted and ascribed to him/her in the EMS interlocal cooperation agreement, plus such additional powers and duties as are granted and ascribed to him/her herein.
2. Medical control board
• The medical control board is hereby designated as the elected representatives constituting the board of directors of the EPF.
• The medical control board shall be the policy-making, rule-making, and factfinding body that shall review and establish all aspects of the system standard of care; and shall have those powers and duties granted and ascribed to it in the amended and restated EMS interlocal cooperation agreement.
3. Emergency physicians foundation (EPF)
• The emergency physicians foundation, acting through its appointed medical control board, is established, concurrently herewith, by adoption of the EMS interlocal cooperation agreement as the administrative agency to oversee clinical aspects of the care rendered by the regional EMS system to the citizens of the regulated service area.
- Contract Period/Term: 1 year
- Pre-Proposal Conference Date: June 10, 2025
- Questions/Inquires Deadline: June 16, 2025